Visits & medical services prices at Lewis County General Hospital
Lowville, NY · every code in this section with a posted price and a Medicare benchmark.
171 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Reflex Testing (92568) | $89.62 | $109 | 1.9× |
| Acupunct W/Stimul 15 Min (97813) | $47.69 | $58 | 1.3× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $47.69 | $58 | 1.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$128.27–$134.02 | $156–$163 | varies |
| Advncd Care Plan 30 Min (99497) | $247.49 | $301 | 2.0× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$29.60–$259.82 | $36–$316 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $142.24 | $173 | 9.9× |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$141.42–$153.76 | $172–$187 | varies |
| Assessment of aphasia per hr (96105) | $583.78 | $710 | 6.0× |
| Auditory Function, 60 Min (92620) | $283.67 | $345 | 1.8× |
| Basic vestibular evaluation (92540) | $462.09 | $562 | 1.7× |
| Behavral qualit analys voice (92524) | $302.58 | $368 | 2.8× |
| Brief Emotional/Behav Assmt (96127) | $26.31 | $32 | 0.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$41.93–$753.98 | $51–$917 | varies |
| Caloric Vstblr Test W/Rec (92537) | $361.78 | $440 | 2.3× |
| Canalith repositioning proc (95992) | $136.49 | $166 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 5 matching MRF lines |
$78.11–$1,095.20 | $95–$1,332 | varies |
| Cardiopulmonary resuscitation (92950) | $430.02 | $523 | 1.6× |
| Cardioversion (92960) | $542.67 | $660 | 0.7× |
| Cbt 1st hour (94644) | $246.67 | $300 | 1.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $158.69 | $193 | 1.8× |
| Chemo IV infusion addl hr (96415) | $109.36 | $133 | 1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $625.71 | $761 | 1.5× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$120.87–$173.49 | $147–$211 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $77.29 | $94 | 0.6× |
| Color/duplex Doppler, limited (93976) | $821.40 | $999 | 6.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $120.87 | $147 | 3.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $149.64 | $182 | 0.7× |
| Comprehensive Hearing Test (92557) | $185.82 | $226 | 1.2× |
| Computerized dynamic posturography (92548) range across 2 matching MRF lines |
$56.73–$286.13 | $69–$348 | varies |
| Continuous Pulse Ox (94762) | $295.18 | $359 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $309.98 | $377 | 1.1× |
| Cpt initial (94667) range across 2 matching MRF lines |
$161.98–$173.49 | $197–$211 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$574.74–$2,430.50 | $699–$2,956 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$272.16–$308.33 | $331–$375 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $365.89 | $445 | 2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,017.09 | $1,237 | 7.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,160.98 | $1,412 | 3.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $883.89 | $1,075 | 6.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$913.49–$1,165.09 | $1,111–$1,417 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$612.56–$945.56 | $745–$1,150 | varies |
| Duplex up extrem art bilat (93930) | $913.49 | $1,111 | 3.1× |
| Duplex up extrem art unilat/ltd (93931) | $864.16 | $1,051 | 6.6× |
| EEG awake and asleep (95819) | $1,073 | $1,305 | 4.0× |
| EEG awake drowsy (95816) | $993.25 | $1,208 | 3.7× |
| EEG cerebral death evaluation (95824) | $1,128.09 | $1,372 | 2.4× |
| Electrical Stimulation Ea 15 Min (97032) | $138.96 | $169 | 9.5× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$59.20–$234.33 | $72–$285 | varies |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$148.82–$568.98 | $181–$692 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$167.73–$735.89 | $204–$895 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$273.80–$1,092.74 | $333–$1,329 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$115.11–$439.07 | $140–$534 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$453.05–$1,568.81 | $551–$1,908 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$33.71–$569.80 | $41–$693 | varies |
| Evaluate Speech Production (92522) | $288.60 | $351 | 2.6× |
| Evaluate Swallowing Function (92610) | $540.20 | $657 | 6.4× |
| Evaluation of speech fluency (92521) | $448.93 | $546 | 3.4× |
| External Ecg Scanning Analysis Report (93226) | $763.02 | $928 | 10.4× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,275.27–$1,276.09 | $1,551–$1,552 | varies |
| Extracranial Uni/Ltd Study (93882) | $828.80 | $1,008 | 6.4× |
| Fundus photography (92250) | $164.45 | $200 | 1.0× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$343.69–$1,350.09 | $418–$1,642 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$345.33–$346.16 | $420–$421 | varies |
| Icd Device Interrogate (93289) | $248.31 | $302 | 5.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $32.89 | $40 | 0.4× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $164.45 | $200 | 3.5× |
| Immunization administration (90471) range across 5 matching MRF lines |
$20.64–$184.18 | $25.10–$224 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $517.18 | $629 | 1.1× |
| Inital newborn e/m (99460) | $167.73 | $204 | 1.0× |
| Insert/Place Heart Catheter (93503) | $811.54 | $987 | 0.4× |
| Iontophoresis 15 min (97033) | $134.02 | $163 | 7.0× |
| Irrig Drug Delivery Device (96523) | $136.49 | $166 | 1.9× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$50.98–$128.27 | $62–$156 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$147.18–$409.47 | $179–$498 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$56.73–$186.65 | $69–$227 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$83.04–$128.27 | $101–$156 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$56.73–$246.67 | $69–$300 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $398.78 | $485 | 2.5× |
| Lung Function Test (Mbc/Mvv) (94200) | $216.25 | $263 | 2.9× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$233.51–$259.82 | $284–$316 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $28.78 | $35 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $28.78 | $35 | 0.8× |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$87.98–$622.42 | $107–$757 | varies |
| Motion Fluoroscopy/Swallow (92611) | $510.60 | $621 | 5.6× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$195.69–$3,510.90 | $238–$4,270 | varies |
| Nasopharyngoscopy (92511) | $234.33 | $285 | 0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $83.87 | $102 | 0.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$115.11–$261.47 | $140–$318 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $475.25 | $578 | 0.9× |
| Neuromuscular Reeducation (97112) | $148 | $180 | 4.5× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$485.93–$700.54 | $591–$852 | varies |
| Optokinetic Nystagmus Test (92544) | $92.91 | $113 | 0.6× |
| Oral Function Therapy (92526) | $285.31 | $347 | 3.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$144.71–$166.09 | $176–$202 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$101.13–$141.42 | $123–$172 | varies |
| Oscillating Tracking Test (92545) | $92.91 | $113 | 0.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $101.13 | $123 | 3.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $135.67 | $165 | 5.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $161.98 | $197 | 6.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $200.62 | $244 | 7.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $240.09 | $292 | 8.9× |
| Ot eval high complexity (97167) | $260.65 | $317 | 2.6× |
| Ot Eval Low Complex (97165) | $260.65 | $317 | 2.6× |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$153.76–$260.65 | $187–$317 | varies |
| Ot manual therapy 15 min (97140) | $161.16 | $196 | 5.8× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$120.87–$127.44 | $147–$155 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $205.56 | $250 | 5.1× |
| Ot Re-Eval Est Plan Care (97168) | $165.27 | $201 | 2.4× |
| Patch/Application Test Specify Number Tests (95044) | $23.02 | $28 | 0.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $92.09 | $112 | 3.7× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$131.56–$198.98 | $160–$242 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$152.93–$185.82 | $186–$226 | varies |
| Plethysmography (94726) range across 3 matching MRF lines |
$41.93–$413.58 | $51–$503 | varies |
| Pm device eval in person (93288) | $111.82 | $136 | 2.4× |
| Pm device progr eval dual (93280) | $174.31 | $212 | 3.7× |
| Pm Device Progr Eval Sngl (93279) | $147.18 | $179 | 3.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$405.36–$3,735.37 | $493–$4,543 | varies |
| Positional nystagmus test (92542) | $92.91 | $113 | 0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $45.22 | $55 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $52.62 | $64 | 0.9× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $192.40 | $234 | 5.1× |
| Pt Eval High Complex (97163) | $260.65 | $317 | 2.7× |
| Pt eval low complex 20 min (97161) | $260.65 | $317 | 2.7× |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$153.76–$260.65 | $187–$317 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$106.89–$130.73 | $130–$159 | varies |
| Pt mechanical traction (97012) | $127.44 | $155 | 8.9× |
| Pt Re-Eval Est Plan Care (97164) | $192.40 | $234 | 2.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $7.40 | $9 | 0.2× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$235.16–$254.07 | $286–$309 | varies |
| Pure Tone Audiometry Air (92552) | $88.80 | $108 | 0.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $309.98 | $377 | 6.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$235.16–$259.82 | $286–$316 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $516.36 | $628 | 4.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $131.56 | $160 | 2.8× |
| Same day nb discharge (99463) | $255.71 | $311 | 1.5× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$148–$148.82 | $180–$181 | varies |
| Sensory Integration Ea 15 Min (97533) | $124.98 | $152 | 2.1× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $208.02 | $253 | 1.3× |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$168.56–$787.69 | $205–$958 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$333–$542.67 | $405–$660 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$153.76–$480.18 | $187–$584 | varies |
| Spirometry (94010) range across 6 matching MRF lines |
$28.78–$502.38 | $35–$611 | varies |
| Spontaneous Nystagmus Test (92541) | $92.91 | $113 | 0.6× |
| Standardized Cognitive Performance Testing (96125) | $342.05 | $416 | 3.3× |
| Temp transcutaneous pacing (92953) | $56.73 | $69 | 0.1× |
| Tensilon Test (95857) | $259 | $315 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$121.69–$126.62 | $148–$154 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$121.69–$126.62 | $148–$154 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $135.67 | $165 | 4.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $267.22 | $325 | 2.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$52.62–$184.18 | $64–$224 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 5 matching MRF lines |
$265.58–$672.58 | $323–$818 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$120.04–$145.53 | $146–$177 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $447.29 | $544 | 1.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$29.60–$71.53 | $36–$87 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$15.62–$39.47 | $19–$48 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $287.78 | $350 | 1.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $418.51 | $509 | 2.5× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,046.69–$2,303.87 | $1,273–$2,802 | varies |
| Tte W/O Doppler Complete (93307) range across 4 matching MRF lines |
$1,068.89–$1,852.47 | $1,300–$2,253 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$64.13–$247.49 | $78–$301 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $120.87 | $147 | 5.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$109.36–$246.67 | $133–$300 | varies |
| Tympanometry (92567) | $88.80 | $108 | 1.9× |
| Tympanometry and reflex threshold measurements (92550) | $181.71 | $221 | 0.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $273.80 | $333 | 1.6× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$349.45–$1,031.89 | $425–$1,255 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $980.09 | $1,192 | 1.3× |
| Visual reinforcement audiometry (vra) (92579) | $146.36 | $178 | 0.5× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$212.13–$222.82 | $258–$271 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $130.73 | $159 | 4.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.